Dextro-transposition of the great arteries follow up: Difference between revisions
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Key Issues to Evaluate and Follow-Up | Key Issues to Evaluate and Follow-Up | ||
Recommendations for Endocarditis Prophylaxis | Recommendations for Endocarditis Prophylaxis | ||
Class IIa | Class IIa | ||
1. Antibiotic prophylaxis before dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa is reasonable in those with the following indications: | |||
::1. Prosthetic cardiac valve. (Level of Evidence: B) | |||
::2. Previous infective endocarditis (IE). (Level of Evidence: B) | |||
::3. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence B) | |||
::4. Completely repaired CHD with prosthetic materials, whether placed by surgery or by catheter intervention, during the first 6 months after the procedure. (Level of Evidence: B) | |||
::5. Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device that inhibit endothelialization. (Level of Evidence: B) | |||
2. It is reasonable to consider antibiotic prophylaxis against IE before vaginal delivery at the time of membrane rupture in select patients with the highest risk of adverse outcomes. This includes patients with the following indications: | |||
::1. Prosthetic cardiac valve or prosthetic material used for cardiac valve repair. (Level of Evidence: C) | |||
::2. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence: C) | |||
Class III | Class III | ||
1. Prophylaxis against IE is not recommended for nondental procedures (such as esophagogastroduodenoscopy or colonoscopy) in the absence of active infection. (Level of Evidence: C) | |||
Recommendation for Reproduction | Recommendation for Reproduction | ||
1. Before women with d-TGA contemplate pregnancy, a comprehensive clinical, functional, and echocardiographic evaluation should be performed at a center with expertise in ACHD. (Level of Evidence: C) | |||
Revision as of 16:50, 12 August 2011
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Dextro-transposition of the great arteries/complete transposition of the great arteries Microchapters |
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Differentiating dextro-transposition of the great arteries from other Diseases |
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Diagnosis |
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Transposition of the great vessels Microchapters |
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Classification |
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Differentiating Transposition of the great vessels from other Diseases |
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Diagnosis |
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Treatment |
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Surgery |
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Case Studies |
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Dextro-transposition of the great arteries follow up On the Web |
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American Roentgen Ray Society Images of Dextro-transposition of the great arteries follow up |
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Dextro-transposition of the great arteries follow up in the news |
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Blogs on Dextro-transposition of the great arteries follow up |
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Risk calculators and risk factors for Dextro-transposition of the great arteries follow up |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]
Overview
Major Recommendations [1](DONOT EDIT)
The American College of Cardiology/American Heart Association (ACC/AHA) classification of the recommendations for Endocarditis Prophylaxsis
{{cquote|
Key Issues to Evaluate and Follow-Up
Recommendations for Endocarditis Prophylaxis
Class IIa
1. Antibiotic prophylaxis before dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa is reasonable in those with the following indications:
- 1. Prosthetic cardiac valve. (Level of Evidence: B)
- 2. Previous infective endocarditis (IE). (Level of Evidence: B)
- 3. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence B)
- 4. Completely repaired CHD with prosthetic materials, whether placed by surgery or by catheter intervention, during the first 6 months after the procedure. (Level of Evidence: B)
- 5. Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device that inhibit endothelialization. (Level of Evidence: B)
2. It is reasonable to consider antibiotic prophylaxis against IE before vaginal delivery at the time of membrane rupture in select patients with the highest risk of adverse outcomes. This includes patients with the following indications:
- 1. Prosthetic cardiac valve or prosthetic material used for cardiac valve repair. (Level of Evidence: C)
- 2. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence: C)
Class III
1. Prophylaxis against IE is not recommended for nondental procedures (such as esophagogastroduodenoscopy or colonoscopy) in the absence of active infection. (Level of Evidence: C)
Recommendation for Reproduction
1. Before women with d-TGA contemplate pregnancy, a comprehensive clinical, functional, and echocardiographic evaluation should be performed at a center with expertise in ACHD. (Level of Evidence: C)
- ↑ Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.